Hysterectomy

By: Tsou Jinyeu

Total Views: 67, Word Count: 784,

The surgical removal of uterus is called as Hysterectomy. It is the most common gynecological surgical procedure. Vaginal Hysterectomy is mostly done in case of many women in cases like uterine cancer or any other major complications related to the reproductive system. Hysterectomy surgery may be open surgery or a laparoscopic Hysterectomy. The recovery and Hysterectomy side effects are less in case of laparoscopic Hysterectomy.

 Other names:

1. Vaginal Hysterectomy
2. Abdominal Hysterectomy
3. Supracervical Hysterectomy
4. Laparoscopic Hysterectomy
5. Vaginal Hysterectomy

Some facts about Hysterectomy

1. Hysterectomy is performed by gynecologists
2. Hysterectomy may be complete removal of uterus, fundus, cervix, removal of the uterine body leaving the cervical stump (suprecervical)
3. Hysterectomy is very commonly done; hence it is also sometimes a controversial topic
4. It renders the patient unable to bear children and affects the hormonal level
   

Need of Hysterectomy

Uterus is the major hormone responsive reproductive sex organ. Ovaries produce most of the estrogen and progesterone in females of reproductive age. Since Hysterectomy affects the child bearing and affects the hormonal levels drastically, it is performed only under special circumstances. Cancers of reproductive system: uterine cancer, cervical cancer, ovarian cancer or tumors

1. As a prophylactic treatment with a strong family history of reproductive system cancers like cancer of cervix, cancer of ovaries, endometrial cancer and breast cancer. It may also be done as a part of treatment from such cancers
2. Severe endometriosis and severe growth of uterine lining where other non surgical options are exhausted
3. Postpartum of remove the placenta that has grown over or inside the birth canal
4. Excessive postpartum bleeding
5. Fibroids and tumors in the uterus
6. Chronic pelvic pain
7. Complications during child birth like uncontrolled bleeding
   

Types of Hysterectomy

1. Radical Hysterectomy: complete removal of uterus, parametrium, upper vagina
2. Subtotal Hysterectomy: removal of fundus, leaving the cervix in situ
3. Total Hysterectomy: complete removal of uterus including the cervix and corpus

Hysterectomy surgery

1. Hysterectomy surgery can be performed in different ways. Traditionally, it is performed by giving an abdominal incision or incision to the vaginal canal.
2. These days laparoscopic Hysterectomy is commonly done. It is much less invasive and post operative recovery is very fast.
3. Morcellator is used to cut the uterus into small pieces. These are then removed from the abdominal cavity via laparoscope.
4. In case of total Hysterectomy, the pieces can e removed through the vagina or the abdominal cavity
5. Robotic Hysterectomy is has the same advantages as that of laparoscopic Hysterectomy. Robotic Hysterectomy is much easier to perform as use if ergonomic computer can be used to control robotic arms.
   

Hysterectomy side effects

1. Surgical menopause due to changes in hormone level
2. Risk of cardiovascular disease
3. Loss of support to the bladder and bowel
4. Problems during sex, and sexual desire
5. Reduced testosterone levels leading to height loss and low bone density
6. Injury to nearby organs

You need to undergo Hysterectomy surgery if you have fibroids, pelvic pain, uterine cancer or any other problems related to reproductive system. Hysterectomy is a very common procedure and consult your doctor for it.

 

About the Author

Dr. Tsou Jinyeu is a well known gynecologist and has been in this field since 1995. His special interests are – genetic and birth defects, high risk obstetrics, lupus in pregnancy, premature labour, premature delivery, triplets and ultrasound diagnosis. He is graduated from the University Of Illinois College Of Medicine. Nowdays he is working as a medical doctor at Elmhurst Loyola Center for Health 

 

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